Ruiz Concrete & Paving, Inc. Job #4650Notice requested by and return to Customer: City of Menifee
Superior Pavement Markings, Inc. Project: ADA Accessibility Ramps Project
P.O. Box 278 ,l:ut7 0 5 2016 Cert No: 70161370000005890968
Beaumont CA 92223 Job# 4650 F' i
r Return receipt requested
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CALIIfORNIA PAELIilIIINARY 20-DAY NOTICE(Public Work)
CALIFORNIA Civil Code Section 3093,3111,3241,end 3262 et Seq.
THIS IS NOT A LIEN. THIS IS NOT A REFLECTION OF ANY CONTRACTOR OR SUBCONTRACTOR.
City of Ivienifee
TO OWNER City clerk 1. The following is a general descri tion of th I b
OR REPUTED OWNER
City of Menifee
29714 Haun Rd
Menifee, CA 92586
Ph
Contract#
TO ORIGINAL CONTRACTOR
OR REPUTED CONTRACTOR
Ruiz Concrete and Paving, Inc.
1344 Temple Ave
Long Beach, CA 90804
Ph 562-439-3070
TO LENDER, SURETY
Quigley Insurance Co
85 Argonaut #212
Aliso ViejoCa 92656
07650052
p e a or, service,
equipment or materials furnished or to be furnished by the
AUG 0 5 2016 undersigned:
2. Estimated Price: $4,060.00
Received 3. The name of the person who furnished that labor, service,
equipment or material is:
Superior Pavement Markings, Inc.
P.O. Box 278
Beaumont CA
Earl Smith
4. The name of the person who contracted for purchase of that
labor, service, equipment or material is:
Ruiz Concrete and Paving, Inc.
1344 Temple Ave
Long Beach, CA 90804
Ph 562-439-3070
5. The description of the job site is:
ADA Accessibility Ramps Project
Sun City Blvd & Evans Rd
Menifee, CA
VERIFICATION
I declare that I am authorized to file this PRELIMINARY 20-DAY NOTICE (PUBLIC WORK) on behalf of the claimant. I have read the foregoing
document and know the contents thereof; the same is true of my own knowledge. I declare under penalty of perjury under the laws of the State of
California that the foregoing is true and correct. Executed at Beaumont on for Superior Pavement Markings, Inc..
3Y 951.845.2799 Date Signed: Sri I
Earl Smith
PROOF OF SERVICE BY MAIL AFFIDAVIT
declare that I served copies of the above PRELIMINARY 20-DAY NOTICE (PUBLIC WORK) by First Class Certified and/or Return Receipt
Requested or Registered Mail Service, postage prepaid, (as required by law) addressed to each of the parties at the addresses shown above on .
declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at Beaumont on for
Superior Pavement Markings, Inc..
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;Y.'�Lz _ �—951.845.2799 Date Signed:
Earl Smith
NOTICE TO PRIME OR GENERAL CONTRACTOR
'HIS IS NOT A LIEN. THIS IS NOT A REFLECTION OF ANY CONTRACTOR OR SUBCONTRACTOR. The undersigned has
entered into a contract to perform labor of furnish materials for the above -described public project, and will look to you
ind your sureties for payment if the person ordering such materials and labor fails to pay for them.